1. science
2. medicine
3. medical research

2015 MENTORING SUMMER RESEARCH INTERNSHIP PROGRAM (MSRIP)
APPLICATION INSTRUCTIONS AND INFORMATION
MSRIP Goal
The MSRIP goal is to increase the number of outstanding undergraduates from diverse backgrounds who pursue the Ph.D. by
strengthening their academic and professional development for admission to University of California campuses and UC
Riverside, in particular, as well as other prestigious colleges and universities across the nation. Now in its twenty-fifth year,
the program has attracted students from across the country at universities such as Princeton, Yale, Harvard, Xavier
University, Howard University, Hampton College, CUNY, Morehouse, Clark Atlanta, Berkeley, and Stanford, to name a few.
Students with socioeconomic or educationally disadvantaged backgrounds are strongly encouraged to apply.
Program Term: June 22 through August 15, 2015 - Eight Weeks
Research Areas Available
UCR provides internships in all areas of the university ranging from the physical, biological and agricultural sciences,
chemical/environmental and electrical engineering and computer science, to the social sciences, humanities and education
(disciplines available in any particular year vary based upon faculty availability). Please see mentor information for the faculty
and research projects available in 2015 on our website http://graduate.ucr.edu/msrip.html
Program Activities
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•
•
•
•
Program Provisions
Eight-week research internship
GRE Preparation Workshops concentrating on
verbal skills
Seminars and graduate application workshops
Preparation of research abstract
Formal research presentation
•
•
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Stipend ($3,000)
Room and board (where appropriate)
Out-of-state transportation
Cultural and social activities (may be included)
Eligibility
Students must be:
 U.S. citizens or permanent residents.
 Currently in their sophomore or junior year at a 4-year institution.
 Interested in pursuing a graduate degree (masters or doctorate). Those interested in professional degrees (i.e. J.D. or
M.D.) should not apply.
 Students in good standing with a minimum 3.0 GPA.
 From a background of socioeconomic hardship, first-generation college students, committed to diversity, etc.
 Enrolled as a full-time undergraduate student at a four-year university or college in Fall 2014.
Application Procedures
1)
2)
3)
4)
Complete and sign summer program application.
Submit unofficial college transcript(s), including Fall 2014 grades.
Ask two faculty to provide confidential letters of recommendation (forms attached).
Submit a financial aid award summary from your institution.
Application Deadline: All documents must be postmarked by February 13, 2015
Award Notification: By no later than March 27, 2015
This application is available on UCR's website at: http://www.graduate.ucr.edu/msrip.html. Please complete the application,
print it out and mail it to the address provided below. You can also print out the complete application, scan it and
send it to us electronically to maria.franco@ucr.edu
Mail application materials, along with transcript(s) to:
UCR Graduate Division - 045
Academic Preparation and Outreach
University Office Building
Riverside, CA 92521-0208
For any additional information please consult the Frequently Asked Questions on the website, or contact
Maria Franco-Aguilar (951-827-3680). If you prefer, you may fax your application to (951) 827-2238.
2015 MENTORING SUMMER RESEARCH INTERNSHIP PROGRAM
APPLICATION FORM
Name (First/Middle/Last)
Date of Birth ___ ___ ___
Age:____
Gender:
Male
Female
UCR ID No:
Fax
E-mail Address
Current Address Until (Date)
Current Address:
Permanent Address:
Number/Street
Number/Street
City/State/Zip
City/State/Zip
Telephone #
Telephone #
U.S. Citizen:
Birthplace
Yes
No Permanent Resident:
Yes
City/State/Country
University/College Information:
University/College
Expected BA/BS
Major
Major GPA
Date
Double Major:
GPA
GPA
Units completed
Cumulative GPA (through Fall 2014)
Status during Spring 2013:
Sophomore
Junior
Senior
Recommendations: List names, addresses and phone #s of two faculty references.
Name and address
Phone #
Name and address
Phone #
UCR Faculty Mentor Request: (Please consult the 2015 List of Faculty Research Projects.)
First Choice Faculty Mentor:
Second Choice Faculty Mentor:
Office Use Only
M-1
M-2
S
R
Y/N
Y/N
Complete
A / R / WL
No
Family Information:
Marital Status:
single
married
divorced
Number of Siblings:
Number of dependents:
Are you the first in your immediate family to attend a 4-year college?
Yes
No
Did you attend an inner-city or impoverished high school?
Yes
No
Name/Location of high school:
Primary language spoken in your home:
Father/Guardian Information:
Mother/Guardian Information:
Father's Name (in full)
Mother's Name (in full)
Highest education level completed
Highest education level completed
Father's Occupation
Mother's occupation
Ethnicity: (optional request)
Chinese American
Latino/Other
Other
Multi-Ethnic
Filipino
Polynesian/Micronesian
East Indian/Pakistani
Korean American
Other Asian
African American
Japanese American
Native American
Chicano/Mexican American
Caucasian
Financial Information:
Are you currently receiving financial aid?
Yes
No
Have you been employed during the academic year?
Yes
No
Approximately how many hours per week did you work?
Are you a scholar in one of the following research programs?
MARC
MBRS
McNAIR
Other
If so, will your stipend continue during the summer months?
Yes
No
Phone #
Program Director's Name
Additional Education Information:
Coursework taken, relevant to your major (please list):
Course
Taken
1.
Quarter/
Semester
Grade
Received
Course
Taken
7.
3.
8.
4.
9.
5.
10.
Graduate program of interest:
Grade
Received
6.
2.
Do you plan to apply to a graduate degree program:
Quarter/
Semester
Yes
No
Degree Objective:
MA/MS
PhD
Standardized Tests:
Which standardized tests do you plan to take?
GRE
MCAT
LSAT
DAT
Other
Which standardized tests have you taken?
GRE
MCAT
LSAT
DAT
Other
When did you take the above test(s)?
Research Experience:
Have you participated in any of the following research-related programs? (check each box, where appropriate)
Summer research at your institution
Academic-year research at your institution
Senior Honors research project
Summer research at another institution
Summer research in industry
Summer research at government agency
Other (specify)
List your research experience(s)
1. Program/School
Dates:
Research project topic:
Research supervisor:
2. Program/School
Department
Dates:
Research project topic:
Research supervisor:
3. Program/School
Department
Dates:
Research project topic:
Research supervisor:
Department
Additional Information:
How did you learn about UCR's Mentoring Summer Research Internship Program? (check where applicable)
UCR
Your Institution
Student Services Office
Career Center
College/Department Office
Research Program Office
Graduate Recruitment/Outreach Office
Academic Department
Graduate Division website
Independent visit to your school by UCR staff
Campus workshops
Internet search
Other
Outreach Events/Research Conferences
Graduate Information Day
MARC/MBRS, SACNAS, McNair Research Symposiums
Other
STATEMENT OF PURPOSE
Please describe your research experience, educational goals, and career objectives. You may type it here or
attach it, but please do not exceed one, single-spaced page.
I certify that I have considered each question and that my statements are true and complete to the best of
my knowledge. Further, I understand that participation in MSRIP may be denied if any information is
found to be incomplete or inaccurate.
Applicant Signature
Date____________________
LETTER OF RECOMMENDATION
Please return to: UCR Graduate Division, Graduate Recruitment/Outreach, Riverside, CA 92521-0208.
Instructions for applicant: Complete this section within the box. Give this form and a self-addressed envelope
to your recommender. The recommender should return the completed form to the UC Riverside Graduate Division
by February 13, 2015.
Applicant's Name
(Last)
(First)
(Middle initial)
I agree that the UC Riverside will hold this recommendation in confidence and I waive my right to access this
recommendation.
Applicant Signature
Date
Recommender
This applicant is in consideration for a position with UCR's comprehensive eight-week Mentoring Summer
Research Internship Program.
I have known this applicant for
This applicant was my
year(s) and/or
undergraduate
month(s).
research assistant
other
(specify)
Recommender's Name
(please print)
University
Title
Phone/email:
Department
Date
Signature
Please rate the student on the following:
RATING SCALE:
Excellent 10
good 8-9
fair 5-7
poor 0-4
No basis for
judgment
Academic performance
Breadth of general knowledge
Intellectual potential for
career in research
Reliability, responsibility
Independence of judgment
Writing ability
Ability in oral expression
Ability to work with others
Motivation for graduate study
Maturity and self-confidence
Potential for conducting research
and making an oral presentation
Please state your overall recommendation for this student for our summer research program and provide any
additional comments about qualifications and potential for research and graduate studies. You may attach
additional sheets or use the back of this page.